多层CT冠脉成像对老年冠心病患者经桡动脉介入治疗疗效的评估及诊断价值研究  

Evaluation and Diagnostic Value of Multi-Slice CT Coronary Angiography in Elderly Patients with Coronary Heart Disease after Transradial Artery Intervention

作　　者：林国麟 吴素莺 黄建芳 Lin Guolin;Wu Suying;Huang Jianfang(Department of Medical Imaging,The First Hospital of Putian City,Putian,Fujian 351100)

机构地区：[1]莆田市第一医院医学影像科,福建莆田351100

出　　处：《现代医用影像学》2023年第2期231-235,共5页Modern Medical Imageology

摘　　要：目的:探讨多层CT冠脉成像对老年冠心病患者经桡动脉介入治疗疗效的评估及诊断价值研究。方法:选取2021年3月至2022年3月在我院进行经桡动脉介入治疗的136例老年冠心病患者,随机将其分为观察组与对照组,每组各68例,两组患者使用多层CT冠脉成像技术进行扫描,观察组在进行手术前医生需要详细的观察CT图像,之后对其进行经桡动脉介入治疗,对照组患者直接进行介入治疗。比较两组患者的手术指标、术后恢复情况、术后并发症、出血情况以及MACCE发生率。结果:观察组患者的首次导丝通过率以及穿刺的成功率明显高于对照组患者,有统计学意义(P<0.05);观察组导丝进入假腔发生率明显的低于对照组,有统计学意义(P<0.05);观察组导丝未通过率、支架未通过率以及球囊未通过率低于对照组,没有统计学意义(P>0.05);观察组患者的手术操作时间明显低于对照组患者(P<0.05);观察组患者的加压包扎时间、住院时间以及卧床时间明显的短于对照组患者(P<0.05);观察组患者出现的迷走神经反射、肺栓塞、动脉痉挛等并发症的发生率显著的低于对照组患者(P<0.05);观察组患者的出血事件发生情况明显的低于对照组患者(P<0.05),观察组患者的MACCE发生率低于对照组患者(P>0.05)。结论:使用多层CT冠脉成像对老年冠心病患者经桡动脉介入治疗的临床疗效较好,值得在临床进行推广。Objective:To evaluate the efficacy and diagnostic value of multi-slice CT coronary angiography in elderly patients with coronary heart disease treated by radial artery intervention.Methods:Select in March 2021-March 2022 in our hospital in the 136 cases of interventional treatment via radial artery in elderly patients with coronary heart disease,its randomly divided into observation group and control group,68 cases in each group,control group patients using conventional via radial artery interventional therapy,observation group of patients using MSCT coronary artery imaging via radial artery interventional therapy on it.The surgical indicators,postoperative recovery,postoperative complications,bleeding and incidence of MACCE were compared between the two groups.Results:The first pass rate of guide wire and the success rate of puncture in the observation group were significantly higher than those in the control group(P<0.05).The incidence of guide wire entering false cavity in observation group was significantly lower than that in control group,with statistical significance(P<0.05).The rate of guide wire failure,stent failure and balloon failure in the observation group were lower than those in the control group,with no statistical significance(P>0.05).The operation time of the observation group was significantly lower than that of the control group(P<0.05).The pressure dressing time,hospital stay and bed rest time of the observation group were significantly shorter than those of the control group(P<0.05).The incidence of vagal nerve reflex,pulmonary embolism,arterial spasm and other complications in the observation group was significantly lower than that in the control group(P<0.05).The incidence of bleeding events in the observation group was significantly lower than that in the control group(P<0.05),and the incidence of MACCE in the observation group was lower than that in the control group(P>0.05).Conclusion:Multi-slice CT coronary angiography has a good clinical effect in the treatment of elderly patients wit

关 键 词：多层CT冠脉成像 老年冠心病 经桡动脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病] R816.2[医药卫生—内科学]